Fibromyalgia depression How to deal with it

Fibromyalgia depression: How to deal with it?

Fibromyalgia depression is a complex and often difficult reality to manage. For those living with this chronic condition characterized by diffuse muscle pain and intense fatigue, the mental state can become as important as the physical manifestations of the disease. Scientific findings and patient experiences are increasingly highlighting the close connection between fibromyalgia and depression, giving us more insight into how these two entities interact and how we can manage our mental health in the context of this dual medical challenge.

Fibromyalgia is a chronic condition characterized by diffuse muscle pain, intense fatigue and tender points in various areas of the body. This disease affects not only the body, but also the mental state of those living with it, which can lead to depression. In this article, we’ll explore the connection between fibromyalgia and depression, and how we can manage and improve our mental health in the face of this dual diagnosis.



  1. Understanding the link between fibromyalgia and depression
  2. How depression manifests itself in the context of fibromyalgia
  3. Strategies for managing fibromyalgia depression


Fibromyalgia and depression intersect in a complex way, forming a connection that can profoundly affect patients’ quality of life. In light of recent research, it is increasingly evident that this association is not coincidental, but rather reflects a profound interaction between the physical and psychological aspects of this condition.

1. The Combined Impact of Chronic Pain and Mental Health

Fibromyalgia, characterized by diffuse muscle pain and tender points, creates a persistent physical burden. When this is associated with depression, the result can be an exacerbation of suffering. Chronic pain can negatively influence mood and contribute to a vicious cycle between physical discomfort and mental disorders.

2. Prevalence of Depressive Symptoms in Fibromyalgia

Studies show that between 30% and 40% of people diagnosed with fibromyalgia also develop symptoms of depression. This co-prevalence indicates that these two conditions may mutually influence their occurrence and evolution. Understanding this aspect becomes crucial for the holistic management of fibromyalgia patients.

3. Physical and Psychological Factors Involved

  • Sleep Disorders: People with fibromyalgia often experience sleep disorders, such as insomnia or restless sleep. They can contribute to the onset and exacerbation of depressive symptoms, having a significant impact on quality of life.
  • Chronic Stress: The constant pain and fatigue associated with fibromyalgia can induce chronic stress. Stress, in turn, can worsen depressive symptoms, creating a vicious cycle that can be difficult to break.
  • Chemical Changes in the Brain: Some studies suggest that fibromyalgia may be associated with changes in neurotransmitters in the brain, such as serotonin and norepinephrine, the same chemicals involved in mood regulation. This chemical connection adds a complex dimension to understanding the link between fibromyalgia and depression.

Overall, it is evident that depression in the context of fibromyalgia is not just a simple coexistence, but an intricate interaction between the physical and psychological aspects of this condition. Adequately addressing this complex relationship requires a deep understanding of the factors involved and a holistic approach to effectively manage both the physical and psychological symptoms of fibromyalgia patients.

Fibromyalgia depression How to deal with it


How depression manifests itself in the context of fibromyalgia

Depression associated with fibromyalgia brings with it a number of symptoms that can significantly influence the quality of life of patients. Recognizing and understanding these signs are crucial steps in fully addressing the complex impact of this dual diagnosis.

1. Persistent Sadness

Deep and persistent sadness is one of the core symptoms of depression in fibromyalgia. Patients may experience a general state of melancholy that is not directly related to difficult times, but becomes a constant presence in everyday life.

2. Loss of Pleasure in Usual Activities

Another defining aspect of depression associated with fibromyalgia is the loss of pleasure in activities that the patient normally enjoys. Activities that once brought joy and satisfaction may now become uninteresting and no longer generate the same pleasure.

3. Changes in Weight or Appetite

Depression can affect appetite and body weight. Patients may experience either increased or decreased appetite, leading to weight fluctuations. These changes can have a negative impact on your overall health and self-esteem.

4. Difficulty concentrating

Managing the chronic pain and physical symptoms of fibromyalgia can affect your ability to focus and pay attention. Depression exacerbates these difficulties, making daily and professional tasks more demanding and contributing to a sense of ineffectiveness.

5. Feelings of Hopelessness

Depression in fibromyalgia can bring with it strong feelings of despair and hopelessness. Patients may have difficulty anticipating improvement and may experience a general lack of perspective about their future.

Fibromyalgia depression How to deal with it

Strategies for managing fibromyalgia depression

  • Medical treatment and therapy: Consultation with a mental health specialist and a rheumatologist may be essential. Cognitive-behavioral therapies and antidepressant medications can provide support in managing symptoms.
  • Regular physical exercise: Moderate physical activity can have a positive impact on fibromyalgia pain and improve mood. Consult a medical professional to choose appropriate exercises.
  • Stress management and relaxation: Techniques such as meditation, yoga or deep breathing can help reduce stress and anxiety, contributing to improved mental health.
  • Social support: Building a support system of friends, family, or support groups can provide an avenue for sharing experiences and finding solutions together.

Fibromyalgia depression can be a significant challenge, but approached with a well-structured plan and appropriate support, it can be managed. Each individual is unique, and personalized approaches will be most effective in managing the dual impact of this condition. Consulting with health professionals and implementing a holistic management plan can make significant improvements in the quality of life for affected individuals.


Treatment for Fibromyalgia

Treatment for Fibromyalgia

Treatment for focuses Fibromyalgia on minimizing symptoms and improving overall health. No treatment works for all symptoms, and the treatment schedule is customized for each patient.

Even if there is no cure for fibromyalgia, a wide range of treatments can help control symptoms. Exercise, relaxation methods and stress reduction can also relieve symptoms.

Common painkillers are used as a treatment for fibromyalgia, which can be given without a prescription.

Antidepressants are helpful and can help relieve the pain and fatigue associated with fibromyalgia. In addition, they relax and have benefits in regulating sleep.

There are also medications used to treat epilepsy, which are often helpful in reducing certain painful manifestations associated with fibromyalgia.



  1. Therapies
  2. Lifestyle and home remedies
  3. Alternative medicine



  • Physiotherapy – The physiotherapist can teach you a variety of exercises that improve strength, flexibility and endurance. Hydrokinetic therapy can help in certain situations;
  • Occupational therapy – The occupational therapist can help you adjust the space in which you carry out your activity or the way in which you perform certain tasks, so that the stress on the body is as small as possible;
  • Psychological counseling – the psychologist can help you strengthen your confidence in your own abilities and can teach you strategies to deal with stressful situations.


Lifestyle and home remedies

Personal care is very important in the treatment for fibromyalgia.

  • Stress Management – Create a plan to avoid overwork and emotional stress. Take time to relax daily. This can also mean learning to say “no” to certain proposals, without feeling guilty. At the same time, it is important not to completely change your daily routine. People who avoid work or quit work that day tend to become unproductive. Try stress management techniques, such as breathing exercises or meditation.
  • Sleep Hygiene – Because chronic fatigue is one of the main symptoms of fibromyalgia, good sleep quality is essential. In addition to allocating enough time to sleep, it is good to try to fall asleep and wake up at the same time, thus giving up sleep during the day.
  • Exercise – At first, they can exacerbate the pain, but done regularly, it relieves symptoms. Running, swimming, cycling or water aerobics can be included in the exercise program. A physiotherapist can help you develop an exercise program to follow at home. Stretching and breathing exercises are very good.
  • Be consistent – keep the activity at a constant level. If you work harder on days when you feel better, you may then experience longer periods of pain. This does not mean doing less or limiting the activity on the days when the symptoms start. Moderation is important.
  • Choose a healthy diet – quit smoking and limit your caffeine intake.


Alternative medicine

Complementary therapies for stress and pain management are not new. Some, like meditation and yoga, have been practiced for thousands of years, but recently, they have become very popular among those suffering from chronic diseases, such as fibromyalgia.

Many of these treatments relieve pain and reduce stress, some of which are accepted in conventional medicine.

  • Acupuncture – is a traditional Chinese therapy that is based on restoring the balance of life by inserting fine needles into the skin at different depths. According to Western theories about acupuncture, those introduced into the skin cause changes in blood flow and neurotransmitters in the brain and spinal cord.
  • Massage – is one of the oldest methods of care that is still practiced. It involves various manipulation techniques that move muscles and soft tissues. The massage relieves the pulse, relaxes the muscles, improves the range of motion of the joints and can accelerate the production of endorphins.
  • Yoga and Tai Chi – these techniques combine meditation, slow movements, breathing and relaxation exercises. Both have been shown to help relieve the symptoms of fibromyalgia.

Fibromyalgia: causes, symptoms, treatment

Fibromyalgia is not a disease or condition, but a syndrome of chronic pain manifested in the muscles and soft tissues. Discovered in 1980, researchers did not initially classify fibromyalgia as inflammatory or rheumatic in nature, although it was considered a rheumatic condition based on untreated mental problems.

Fibromyalgia is a disorder that features musculoskeletal pain spread throughout the body, accompanied by fatigue, sleep disorders, memory, and mood issues. Researchers believe that in the case of those suffering from fibromyalgia, painful sensations are amplified in the brain and spinal cord.



  1. Causes
  2. Symptoms
  3. Treatment


What are the causes?

It is believed that one cause is increased sensitivity and low level of pain tolerance of nerve cells in the spinal cord and brain due to possible chemical changes. On the other hand, it is believed that fibromyalgia can be caused by the imbalance of some hormones, such as cortisol, growth hormone, because their insufficiency causes exhaustion, but also low tolerance to pain.

The definite causes of fibromyalgia are not fully known, but most doctors believe that repeated nerve stimulation alters the way the brain perceives pain. This irreversible change causes an abnormal increase in the levels of certain chemicals in the brain and in the spinal cord, which generates the sensation of pain. Additionally, pain receptors, present throughout the organs, skin, muscles, and joints, seem to develop what doctors refer to as “pain memory,” becoming extremely sensitive and overreacting to both painful and painless signals.


What are the symptoms?

The most important symptom is certainly the pain experienced in muscles, tendons, and ligaments. But, in addition, a combination of other signs indicates the presence of fibromyalgia. Headaches, exhaustion from insomnia or poor sleep, anxiety, irritable bowel syndrome, and memory issues may indicate fibromyalgia. The manifestations are different from one person to another. In rare cases, fibromyalgia may be accompanied by Raynaud’s syndrome, tingling, numbness, flu-like symptoms, itching, or bowel issues. Also, the morning stiffness of the joints that does not last more than an hour is a characteristic sign of this syndrome.

Another common symptom of fibromyalgia is the presence of sensitive spots in certain locations on the body. When applied to holy individuals, they will only feel pressure. In the case of those suffering from fibromyalgia, they will feel pain.

What are the symptoms

What is the treatment?

Fibromyalgia is difficult to treat, but medications, therapy, and lifestyle adjustment can help control symptoms and improve quality of life.

Treatment focuses on minimizing symptoms and improving overall health. A single treatment does not address all symptoms, and healthcare providers tailor the treatment schedule to each patient.

You use common analgesics that do not require a prescription. People in the upper classes should avoid them, as they may produce severe side effects and lead to addiction. Research has proven that they worsen the pain over time. Antidepressants are helpful and can help relieve the pain and fatigue associated with fibromyalgia. In addition, they relax and have benefits in regulating sleep. Medications used to treat epilepsy, often prove helpful in reducing certain painful manifestations associated with fibromyalgia.

Unfortunately, when diagnosed and experiencing chronic pain and fatigue, many people with fibromyalgia may also develop major depression. It also investigates the presence of abnormalities in brain chemistry, which can lead to depression or increased sensitivity to pain.
Positive thinking, meditation, and prayer studied by Dr. Andrew Newberg have healing effects on body processes and consciousness. In case of pain, you can use painkillers and antidepressants for fatigue.